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Undertaking by Applicant

(Applicant Name) herebyundertake that the details mentioned in the application form are true & correct to thebest of my knowledge & belief. I hereby authorize "Utech lndia Ltd" to process/enrolland download my digital signature on my behalf.

Signature of Applicant Date & Place

Undertaking by Proposer

(Name of Proposer)undertake that I have submitted the correct details for

(Applicant Name), my client mentioned in the applicationform to get Digital Signature Certificate as required. lD & Address Proof attached withapplication form are duly and truly certified & attested by me.

I also hereby authorlzed by applicant to take & Use Digital Signature Certificate.

Signature of Proposer with Stamp Date & Place

Utech lndia Ltd I Class 2 | Class 3 | DGFT Digital Signature Certificateswww.utechin.dia.cqr!

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CERRFYIHG &UT}*SRITY

TATA coNsuLTANcy sERvrcei uurrED - cERTTFvTNG AUTHoRrryREQUEST FOFM FOR CLASS-2 CERTTFTCATE FOR FOREIGN DTRECTORS.

Usen Tvpe - Inorvrouel

Instructions: '*

1. Please fill the form in BLOCK LETTERS2. Items marked with * are rnandatory.3. For the items marked with # (Details for at least one are mandatory)

DETAILS TO BE FILLED IN BY THE APPLICANT: X

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FU!.L NAME X

Last Name/Surname

First Name

Middle Name

GENDER *(Tick as a

Male

DATE OF BIRTH:

Residential Address x

Pin Code

Country

Telephone No, -

pplicablef

T Female

trN Nfl ItrIN(DD) (MM) (YYYY)

Code Telephone No.

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The information provided above in the Request Forrn for procuring a DSC from TCS-CA istrue and correc! to the best of rny knowledge"

Date Signature of the Applicant

This is to certify that. Mr./Ms./Mrs ................... with

(Residential Address) is maintaining a bank account (A/c NO...... ..............")

with our bank......".... ....""."...(Bank t\ame)

and operation that account in the norrnal course of its business/activities" His/Her signatune

as appearing below is duly attested (as per-the records available with bank).

Signature of Authorized Signatory

Name:

Designation:.....................,. *

Date:

Signature of Branch Managen.

Name:

Designation :.......................

(Bank Seal)

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To,

Tata Consultancy Services - Certifying Authority

Tata Consulta ncy Servicestimited

Hyderabad

This is to ceftify that Mr. / Ms.

nnnexure-g: tette

(Director's

name) is a bonafide Director of

(organization name)

Deta i t s of Attesti n g Authority (Co m pafsecreta ry1

Name

Profession

Professional Membership No

Date

Place

Signature with Stamp/Seal

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cHEEKLIST FoR, INDIVIDUAL TYPE oF CERTIFICATE

The following is a list of the supporting documents that you need to submit along with theCertificate Request Form. --

NOTE: NOTARIZATION IO BE DO.NE BY NOTARY PUBLIC OF RESPECTIVE COUNTRY.

1(a) IN CASE OF FOREIGN DIRECTOR/FOREIGNcrTrzEN REsrprNG rN rNprA (Any one ormore copies duly NOTARIZED BY NOTARYPUB!-IC of the respective country, wherethe Director is resident of)

Photo ldentiflcation Proof, '

c Passport with VISA details. Driving License

. Social Security Number -*o Citizen Card

r PAN or Equivalent Tax Card of the

respective country, where the Director

is Citizen of.

Residence Prooff. Lease agreement/Property Documents

. Telephone Bill

. eleffricity eitt

' Driving License.

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trtr

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IN CASE OF INDIAN CITIZEN/INDIANDIRECTOR RESIDING IN ABROAp (Any oneor more copies duly NOTARIZED gyNOTARY PUBLIC of the respectilecountry, where the Director is resident of)

Photo Identification Proof :

r Passport with VISA details

. Driving License

. Socialsecuritflfrumber

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o Citizen Card

Residence Proof:r Passport copy

o Driving License

o Electricity Bill

r Telephone Bill

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1(c) IN CASE OF FOREIGN DIRECTOR/FOREIGNCITIZEN RESIDING IN ABROAD copiesduly NoTARIZED BY ETABLPU4IE ofthe respective country, where the Directoris resident of)

;-Photo Identification Proof: (Any One copy)

. Passport with VISA details

. Driving License

r Citizen Card

Residence Proof: (Any one copy)

r Passport with VISA details

r Driving License

o Electricity Bill

. Telephone Bill

ill-LJ

D

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2Online Certificate Enrollment Form with RequestNumber.

U tr

3Annexure-A Letter of Authority duly attested bythe Banker where tfie Director holds valid bankaccount,

(oR)Annexure-B Letter of Authority duly attested bythe Corqpany secretary where Director doesn'thave bank account.

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Instructions

All subscribers are advised to read Certificate Practice Statement of CA.

The certificate shall be downloaded onto the same computer / Hardware device (USB token,

Smart Card etc.) by login as same computer user account from where the request was initiated.

After placing an online request for a certificate, the following activities shall not be carried out

until the certificate is successfully downloaded:

. Formatting of the computer

Deletion of computer user account used to logon when the request was initiated

Reinstallation or upgrade of the Internet browser on the computer from which the certificate

request was initiated.

4. The certificate must rltt U" shared with others or used by them on your behalf.

5. If you lose your key pair, you shall inform the M Administrator immediately and apply for the

revocation of your certificate.

6. ApplicationTorm must be submitted in person.

7. trncomplete/Inconsistent application is liablJto be rejected.

Declaration

I hereby confirm that I have read and understood the above instructions and will follow the

above instructions for obtaining and using fhe Digital Signature Certificate.

Signature of the Applicant

3.

I

I

iI TO BE FILLED BY RA OFFICE':::

rhi';uove:.:a -talls:haVe, :been v€,ii1ieo,::a:nd::::fo:un:di:toi be .corctt,

Signature of nR Ofqce :

Name;:rrr ,u l ,l

Date;',,

dffi*;t cEnnFctffG&urilsruTY

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This ceftifieate Regu*t Form and the Document Checktist along with all the supportingdocuments have lp be forwarded to the RA Office at the following addresst

Duly mark the envelope as'

-7-